DR. THEODORE JACOB ELLENHORN PHD
NPI 1609911544
Psychologist - Clinical in Amherst, MA
About Dr. Theodore Jacob Ellenhorn Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. THEODORE JACOB ELLENHORN PHD (NPI 1609911544) is an individual clinical provider in Amherst, Massachusetts, licensed in Massachusetts (5069) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1989).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Theodore Jacob Ellenhorn Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 01002 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Theodore Ellenhorn's NPI number?
The NPI number for Theodore Ellenhorn is 1609911544. It was assigned to this individual provider in the NPPES registry on February 20, 2007.
Where is Theodore Ellenhorn located?
Theodore Ellenhorn practices at 17 Kellogg Ave Ste 3, Amherst, MA 01002. The listed phone number is (413) 256-3075.
What is Theodore Ellenhorn's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Theodore Ellenhorn enrolled in Medicare?
Yes. Theodore Ellenhorn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Theodore Ellenhorn accept?
Health plans from Anthem Blue Cross and Blue Shield list Theodore Ellenhorn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Theodore Ellenhorn was last updated on February 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Theodore Jacob Ellenhorn, PHD · NPI 1609911544
Clinical provider in Amherst, Massachusetts. Individual provider, active in the CMS NPPES registry since February 20, 2007.
## Identity
- **NPI:** 1609911544 (Entity type: Individual)
- **Enumerated:** February 20, 2007
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** 5069 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 17 KELLOGG AVE, STE 3, Amherst, MA 01002-2150
- **Phone:** (413) 256-3075
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1989
## Record status
- **NPPES last updated:** February 25, 2020
- **Other identifiers:** Other W04790 (MA)
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Source: [NPI Profile](https://npiprofile.com/npi/1609911544) · Data from the CMS NPPES public registry.